Membership Form

PLEASE RETURN TO:

Frank Sinatra School of the Arts, ATTN: PTA

35-12 35th Avenue, Astoria, NY 11106

 

Frank Sinatra School of the Arts Parent Teacher Association

Contribution and Member Database Form

2012 - 2013

 

Completion of this form is purely voluntary, and is NOT a condition of PTA membership, as per Chancellor’s regulation A-660, all parents and those who stand in parental relation to a student at FSSA are automatically members of the PTA. Some of the intended uses are workshop planning, membership database creation, mailing lists, email notification and buddy/telephone lists.

No information will be released for purposes unrelated to FSSA PTA business.

 

Name: ___________________________________________________________________________________

 

Address: ________________________________________________________________________________

 

Home Phone: ____________________________      Work Phone: __________________________________

 

Cell Phone: ______________________________      E-mail Address: _______________________________

 

Child (ren) attending FSSA as of September 2011:

             Name                                      Grade                                          Studio 

______________________________        ___________               __________________________

______________________________        ___________               __________________________

 

 

Contribution Enclosed: Basic $25_____ Friend: $50_____ Supporter: $75_____ Sponsor: $100-$299_____

 

Donor: $300-$499_____ Benefactor: $500 - $999_____ Patron: $1000 & up _____ Other: $__________

 

 

 

Pursuant to Chancellor's Regs. A donation is not required to be a PTA Member.

 

***Make checks payable to: FSSA PTA*** Thank you!

 

 

Do you have any previous PA/PTA/School committee experience that you would like to contribute to FSSA? ______________________________________________________________

 

Your interests/talents/hobbies that you would be willing to share (i.e. computers, sewing, dancing, etc.):________________________________________________________________

 

What topics are you interested in exploring for yourself? ______________________________________________________________________________________

 

What topics would you like to see the Parent Teacher Association address? _____________________________________________________________________________________

 

Areas of Interest: Please check if you are willing to volunteer as needed for PTA Committees:

 

 ? Special Events          ? Fundraising               ? Studio Liaison